14D2103849 CLIA NUMBER - ENTOPY RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 14D2103849
  • Facility Name: ENTOPY RESEARCH LLC
  • Facility Address: 2600 S MICHIGAN AVE - STE 403
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 945-8640
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PRAVIN K. MUNIYAPPA MD
  • NPI Number: 1154758985
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 14D2103849
LAB Type Physician Office
Facility Name ENTOPY RESEARCH LLC
Street 2600 S MICHIGAN AVE - STE 403
City CHICAGO
State IL
ZIP 60616
Phone 312 945-8640
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director PRAVIN K. MUNIYAPPA MD

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This page was last updated on: 9/29/2025